Organization
JACQUELYN S. FRIGON, M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACQUELYN S FRIGON M.D. (OWNER)
(870) 535-4800
Entity
Organization
Contact information
Practice address
1801 W 40TH AVE, SUITE 5B, PINE BLUFF, AR 71603-6940
(870) 535-4800
(870) 535-4804
Mailing address
1801 W 40TH AVE, SUITE 5B, PINE BLUFF, AR 71603-6940
(870) 535-4800
(870) 535-4804
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
R2808
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103056001
—
AR
Enumeration date
08/29/2006
Last updated
07/11/2007
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